| NPI | 1285957985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACE EARL FERGUSON Licensed Optician 843-655-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: SC 436) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |